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General NPI Number Information
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NPI Number | 1487952503
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Entity Type | Organization
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Legal Business Name | MICHAEL A. HARSHMAN P.C.
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 815 S 13TH ST
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City | DECATUR
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State | IN
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Zip | 46733-1803
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Country | US
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Telephone | 260-724-4111
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Fax | 260-724-4188
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Provider Business Mailing Address
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Address Line | 815 S 13TH ST
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City | DECATUR
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State | IN
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Zip | 46733-1803
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Country | US
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Telephone | 260-724-4111
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Fax | 260-724-4188
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL A. HARSHMAN
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Credential | O.D.
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Telephone | 260-724-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002484A
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License Number State | IN
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